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See a sample rate comparisonCPT 77338 Fee Schedule
Medicare rates as of October 2026
CPT 77338 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Imrt Tumor Image, A Tumor Image Created For Radiation Treatment. Information From An Intensity-Modulated Radiation Therapy (Imrt) Plan Is Fed Into A Filter On A Linear Accelerator. This Creates A Radiation Energy Pattern That Precisely Matches The Shape Of The Tumor.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $474.96 national non-facility rate (2026) · View Medicare rates for 77338 |
| Medicaid Fee Schedule | $385.73 median of the 8 states in the free preview · View Medicaid rates for 77338 |
National average reimbursement for CPT 77338 by major payers:
$569.76
BCBS / Anthem
$593.95
UnitedHealthcare
$608.39
Aetna
$713.11
Cigna
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CPT 77338
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,247.60Published rateEl Campo Memorial Hospital
$628.11Published rateDavid Ison
Professional Radiology, Inc.
$431.10Published rateGonzales Healthcare Systems
$297.95Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$198.66Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77338 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77338. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77301-CPT | High | Radiation Treatment Plan, An Intensity-Modulated Radiation Therapy (Imrt) Plan Constructs A Precise 3-D Map Of A Tumor. Radiation Doses Are Targeted To The Mapped Area And Vary By The Tumor Thickness. |
| 77306-CPT | Low | Therapeutic Radiology Service, Teletherapy Isodose Plan; Simple (1 Or 2 Unmodified Ports Directed To A Single Area Of Interest) Includes Basic Dosimetry Calculation(S) |
| 77307-CPT | Moderate | Telethx Isodose Plan Cplx, Teletherapy Isodose Plan Complex Multiple Treatment Areas Tangential Ports The Use Of Wedges Blocking Rotational Beam Or Special Beam Considerations Includes Basic Dosimetry Calculation S |
| 77338-CPT | Moderate | Imrt Tumor Image, A Tumor Image Created For Radiation Treatment. Information From An Intensity-Modulated Radiation Therapy (Imrt) Plan Is Fed Into A Filter On A Linear Accelerator. This Creates A Radiation Energy Pattern That Precisely Matches The Shape Of The Tumor. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77338. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77338 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find out the cost of a specific medical procedure, you should contact your healthcare provider's billing department directly and also reach out to your insurance company for coverage details. For a detailed lookup of fee schedules based on CPT code and your specific location, you can utilize specialized tools. Payerprice offers a fee schedule lookup tool designed for users to search with CPT codes and specific locations.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for understanding costs because they provide a universal way to identify specific procedures, allowing you to look up prices and verify insurance coverage accurately. Knowing the CPT code for your service is often the first step in getting a precise cost estimate.
To determine if your insurance covers a specific procedure, you must contact your insurance provider directly. They can explain your benefits, deductible, co-pays, and any pre-authorization requirements. It's helpful to have the CPT code for the procedure ready when you call, as this will allow them to provide the most accurate information regarding your coverage.
An in-network provider has a contract with your health insurance plan to provide services at pre-negotiated rates. This typically results in lower out-of-pocket costs for you, as your insurance company covers a larger portion of the bill. An out-of-network provider does not have such a contract, meaning you may pay a higher percentage of the cost, or even the full cost, out of pocket, as your insurance plan may cover less or none of the service.
For specific fee schedules based on CPT codes and your location, you can use specialized tools. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find relevant pricing information. This can help you understand potential costs before a procedure.